LaparoscopyA nation’s experience of bleeding complications during laparoscopy
Section snippets
Patients and methods
Since 1995 the Swiss Association of Laparoscopic and Thoracoscopic Surgery (SALTS) has prospectively collected the data from patients undergoing various laparoscopic procedures at 97 surgical institutions (university, county and district hospitals, and surgeons in private practice). Data from more than 65% of all laparoscopic procedures performed in Switzerland have been collected. For every patient 130 single items including personal records, indication for surgery, intraoperative findings,
Characterization of patients and surgical procedures
There were 6,084 male (42.7%) and 8,159 female patients (53.3%) with an mean age of 51.4 years (range 6 to 95); 3.8% of the patients were <20 years old, and 15.0% were >70 years of age. In addition, most of the patients (90.3%) presented in a low-risk condition according to ASA 1 and 2 classification.
Among the 14,243 patients, there were 581 patients with bleeding complications (4.1%). Whereas 331 patients had an intraoperative bleed (2.3%), the remaining 250 patients had a postoperative
Comments
The aim of our current series was to investigate the clinical importance of bleeding complications after different laparoscopic procedures performed in Switzerland. To this end, the SALTS data base of 14,243 patients, which reflects a representative profile of Swiss laparoscopy, was analyzed.
The overall rate of bleeding complications (IBC and PBC) was 4.1%. In comparison with the available data of the literature, the bleeding complication rate of our series is twice as high.7, 8, 9, 12, 14, 15,
References (24)
- et al.
Complications of laparoscopic cholecystectomya national survey of 4,292 hospitals and an analysis of 77,604 cases
Am J Surg
(1993) - et al.
Major vascular injuries during gynecologic laparoscopy
J Am Coll Surg
(1997) - et al.
Major vascular injuries during laparoscopic procedures
Am J Surg
(1995) - et al.
A nationwide analysis of laparoscopic complications
Obstet Gynecol
(1997) - et al.
Major vascular injuries during gynecologic laparoscopy
J Am Coll Surg
(1997) A prospective analysis of 1518 laparoscopic cholecystectomies
NEJM
(1991)- et al.
Mortality and complications associated with laparoscopic cholecystectomy. A meta-analysis
Ann Surg
(1996) - et al.
Increased tumor establishment and growth after open vs laparoscopic bowel resection in mice
Surg Endosc
(1998) - et al.
An external audit of laparoscopic cholecystectomy in the steady state performed in medical treatment facilities of the Department of Defense
Ann Surg
(1996) - et al.
Bile duct injuries, 1989-1993. A statewide experience. Connecticut Laparoscopic Cholecystectomy Registry
Arch Surg
(1996)
Major vascular injury as a complication of laparoscopic surgerya report of three cases and review of the literature
Am Surg
Laparoscopy and major retroperitoneal vascular injuries (MRVI)
Surg Endosc
Cited by (61)
Inguinal Hernia Repair: Laparoscopic
2019, Shackelford's Surgery of the Alimentary Tract: 2 Volume SetImaging in laparoscopic cholecystectomy - What a radiologist needs to know
2014, European Journal of RadiologyCitation Excerpt :Treatment of cystic duct remnant mucocele is usually surgical [26]. Vascular complications secondary to laparoscopic cholecystectomy have been noted in 1.8–4.1% of cases and include vascular injury in the surgical bed, pseudoaneurysm formation (Fig. 19), and incision/trocar site injuries [27,28]. The right common hepatic artery followed by the portal vein are the two most common vessels injured during gallbladder fossa dissections [29].
Intraoperative splenic injury as a complication of the laparoscopic excision of uterine myoma
2012, Asian Pacific Journal of ReproductionCutting errors in surgery: Experience limits underestimation bias in a simulated surgical environment
2012, Journal of Surgical EducationCitation Excerpt :Way and colleagues, for example, found that bile duct injuries during laparoscopic cholecystectomy procedures were mainly attributable to misperceptions caused by the visual system's susceptibility to illusions and not by poor judgment, a lack of knowledge, or substandard manual skills.5 Susceptibility to misperception in MIS may also escalate in visually obscure conditions, such as during excessive bleeding or inflammation.5,6 The primary objective of this study was to gain a better understanding of the differences between novices and experienced surgeons when responding to visually challenging conditions that occur in MIS.
Laparoscopic Inguinal Hernia Repair
2012, Shackelford's Surgery of the Alimentary Tract: Volume 1-2, Seventh Edition